Individual provider Active NPI

Gordon Spafford, MD

  • Family Medicine Physician
  • Daphne, AL
National Provider Identifier
1326096173
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00003278 Issued in AL
Practice address
27961 US Highway 98
Suite 20
Daphne, AL 36526
Phone
(251) 621-6520
Fax
(251) 621-6521
NPI assigned
May 4, 2006
Last updated
Apr 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00003278 AL Primary

Addresses

Primary practice location

27961 US Highway 98
Suite 20
Daphne, AL 36526

Mailing address

27961 US Highway 98
Suite 20
Daphne, AL 36526
Phone (251) 621-6520

Other identifiers 1

IdentifierTypeStateIssuer
051513273MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00003278ALMDFamily Medicine Physician
3278ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Daphne Family Practice, LLC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

27961 US Highway 98
Ste 10
Daphne, AL 36526
Phone (251) 626-0732

27961 US Highway 98
Ste 20
Daphne, AL 36526
Phone (251) 621-6520

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1326096173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98",
            "address_2": "SUITE 20",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "36526",
            "telephone_number": "251-621-6520",
            "fax_number": "251-621-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98",
            "address_2": "SUITE 20",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "36526",
            "telephone_number": "251-621-6520",
            "fax_number": "251-621-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAFFORD",
        "first_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00003278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051513273",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.